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CITY OF ORONO * 2 0 1 7 - 0 a 6 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2040 SPATES AVE <br /> PIN : 10-117-23-31-0090 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 7,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 7,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: OUTDOOR FIREPLACE <br /> PERMIT#THIS PRE-PAYMENT[S TIED TO:2017-00676 <br /> APPLICANT ADVANCED PLAN REVIEW 100.65 <br /> SOUTHVIEW DESIGN TOTAL 100.65 <br /> Payment(s) <br /> 2383 PILOT KNOB RD CREDIT CARD 100.65 <br /> MENDOTA HEIGHTS,MN 55120- <br /> (651)203-3000 <br /> OWNER <br /> DAMMEN,SUSAN <br /> 2040 SPATES AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pern►it is issued shall be performed according[o <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if wnstruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Sigr►ature Date <br />